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Myoma is a benign tumor, and usually

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50% of the cases it is asymptomatic, or it

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does not result in symptoms

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but in the rest, 50% result in some symptoms

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which may cause a woman to come to the hospital seeking gynecological

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solutions for care.

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So some of the symptoms which are common

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and for which surgery or treatments are indicated

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are menhorrhaga or excessive uterine bleeding

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persistent pelvic pain

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presence of infertility, even though

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infertility is related to only 3% of cases of myoma

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sometimes it might be indicated for

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and other compression symptoms like pressure on the bladder or the rectum or also

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as are common symptoms or other complications.

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Not all myomas should be treated

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All myomas are not to be managed

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only if they cause symptoms or complications

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for which a woman comes for gynecological care

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Generally surgical treatments are indicated for symptomatic myomas

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asymptomatic myomas should be managed expectantly

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unless they are very large

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so the general indications for myomectomy are

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myomasses abnormal uterine bleeding

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usually menorhhaga

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with persistent pelvic pain

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ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery